HomeMy WebLinkAboutpitkin.eh.264321301001 (1984)T'a'>e
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I PENObPITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. qN 0 U
TYPE OF PERMIT:
( )Initial Construction ( )Emergency Use ( )Repair Work,(Pievious Permit 1 .) ( )Alteration of an existing system,
or Installation (Previous Permit 1 )
Use Permit as a result of Sala ( )Othorr p
ISSUED TO: DATE OF ISSUE T 1 7- 0
Ownerj, f SHEENA+JD. Home Phone923_3g23 Business
Mailing OX 11�9 4poi,(,11OL09-ADD R/61 Z
Address ,
Agent_ Phone
Ma i l.in g
Address
Sewage Disposal Sys-�em Work to be performed by
This permit valid only for premises )oeation by the following 1
Phone
LOT si1E AcAer . WATER SUPrLY Uj[L4 . AVERAnE PER,,COOLATION RATFfJ�IA
This Individual Sewage Disposal Permit is granted with regard to the following
Nuabcr oft Dodicoms _ Lofts-_ Carbage Disposals_ Dishwashers Clothes Washers
CALCULATED AVERAGE DAILY WASTE LOAD 4's 0 CALL.ONS.
NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
of Tank or Treatment Units `tic r fc. , AAJk Tank. Capacity .S100 calloa Nipim:r.;
d of Final DisposalsA&s Qmm $60 C J Absorptiop Area ZO Ob w Square Feet Ninim!:ra
Sption (including brand name, if any) of other equipment or appurtnancees
r Conditions or Specifieationst.s-. u9b FoR QvJ-r UUF'b USE GF A FuAJ4=r1oa1je�,u)
x
AStEwKtE3ASI6SAL SYS SM PAWSUA tr 70 '%SfC. ON :5-2,4 op THE grielP
Kttu&,A'noN�. dol 1AmvID(IALSEJrJ� cP1 Pos4LSy5TFms As 1? ?A1 �F!? 19 'TF�F e640 (TION BE24u1.
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: '
( )Before Excavation ( )Upon completion of excavation and prior to placement of gravel ( )Before covering distribution
system of absorption field
( )Prior to backfill of any component ( )Other, Speeifyt
ens and specifications of the proposed sewage disposal system have been reviewed and arra_ considered satisfactory. Permisni.on
hereby granted to tile. owner or his agent to parfnrm the work, indicated above in accordance with the Pitkin county Individual
wale Disposal Rerrlllati0ns in effect on the date of issue. In addition to general provisions set forth on the reverse hereof,
is Permit le suhject to the following additional terns and conditionsts,a �Wa«�,,,, e,,w aw w» M„w rwa«...-a..•w.a..^"w^�• "« """
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APPROVED FOR ISSUE BY (title) »ati-••?_?.a2.1.+�.;�
• above individual seuago disposal system installed by t77" r
r
been inapccted P
for use by a representative of the Asi' n atein Lnvlronr"�:nta lienTFIF neparunent. Thee owner asuumas a
ll
:Iwnslbiltty in case of failure or inadequacy of thio sewat)e disposal system. eompleto as -built drawing attachod.
DATE OF FINAL INSPECTION L2-24 ` 71 '
BY: D. TITLE g e --M
130 South Galena Street Aspen, Colorado 81611. 303/925-2020